oil cyst removal after breast fat transfer

Disaster or normal phenomena : Oil cyst after breast fat transfer

What are lumps after breast fat transfer?

Fat transfer, alternatively referred to as fat grafting, is a popular method for breast augmentation and reconstruction. Instead of using synthetic implants, this technique involves utilizing the patient’s own tissues to mold and enhance the breasts.

Achieving the desired outcome may require multiple fat grafting sessions. While generally safe under the care of qualified surgeons, excessive frequency or the involvement of subpar practitioners can lead to complications. These complications commonly manifest as the formation of hardened and occasionally painful lumps (known as oil cysts) in the breast, which can cause significant distress for patients.

What Are lumps After Fat Transfer to the Breast?

Hardened masses that appear after breast fat transfer are basically caused by fat necrosis post-fat transfer treatment. Fat necrosis is a common complication that may result in either hardened lumps. These masses can manifest as either oil cysts, characterized by a calcified cyst surrounding liquid fat that feels smooth and pliable, or as hardened lumps that may cause physical discomfort, skin bruising, and pain. Patients undergoing breast fat transfer may experience a combination of oil cysts and hardened lumps, both of which are attributed to fat necrosis.

Real Fresh Clinic's patient chat : RT breast oil cyst post breast fat transfer in USA.
Real Fresh Clinic’s patient chat : RT breast cyst post breast fat transfer in USA.

What causes hard knots after breast fat transfer

Insufficient skill in breast fat transfer can lead to fat cell death due to poor blood circulation, resulting in limited oxygen and blood supply. Some doctors abandon their Hippocratic Oath to attract more patients and achieve impressive short-term transformations by excessively injecting fat.

As any cell, fat has blood circulation and has its own system

Typically, only 30% to 60% of the injected fat survives, but to showcase favorable results, they inject over 400cc in a single session instead of the recommended safe amount of 100-250cc. Additionally, they neglect proper techniques like layer-gradation, opting to inject all harvested fat directly. Consequently, this improper approach often triggers fat necrosis and the formation of scar tissue.

What is the possible treatment? Fresh Clinic Approach

After your physician determines that the masses in the breast are due to fat necrosis and are not cancerous cells, you may elect to treat it or monitor it to see if it dissipates on its own. However, if the lump is causing significant discomfort or aesthetic problems, it may be advisable to address it surgically.

Oil cyst removal
Lump removal by vacuum-assisted breast device with full screening ultrasound guidance

In the Fresh Clinic Dr. Hong approach for fat necrosis generally involves ultrasound guidance to effectively locate all hardened lumps. Using vacuum-assisted breast device he do aspiration then causes an oil cyst to dissolve quickly.

The procedure only requires a local anesthetic (with sleeping sedation), and recovery from the procedure is typically short. Most people need only approximately 2 to 4 weeks of recovery time, depending upon the size and number of the lumps. Multiple lumps may require multiple treatment sessions.

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